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Baltimore’s overdose crisis

Baltimore won millions to fight overdoses, but community groups may get just a fraction

Only $2 million is slated to be available to community organizations interested in applying for grants this upcoming year.

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Baltimore Mayor Brandon Scott spoke to Candy Kerr of the Baltimore Harm Reduction Coalition and other community advocates at a budget town hall held at Coppin State University on Tuesday, May 6, 2025.

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The synthetic opioid fentanyl, up to 50 times more potent than heroin, has taken over Baltimore’s illegal drug supply, contributing to more and more deaths.
Baltimore’s unprecedented overdose crisis: 5 takeaways
Nearly 6,000 people have died over the past six years — an unparalleled number among U.S. cities.
A wellness suite at Basilica Place, a Catholic Charities Senior Community in Baltimore, where residents will soon be able to receive addiction treatment services from a nurse and peer recovery specialist.
Baltimore seniors have died at shocking rates from drug overdoses. Help is on the way.
Hundreds have died in Baltimore’s senior apartment buildings with little intervention. New efforts could stem the tide.
The Baltimore City Council’s Budget and Appropriations Committee approved more than $14 million to community organizations and city agencies to help tackle Baltimore’s overdose crisis.
In the shadow of political clashes, Baltimore makes progress on overdose strategy
The Baltimore City Council’s Budget and Appropriations Committee approved more than $14 million to community organizations and city agencies to help tackle Baltimore’s overdose crisis, which in recent years had become the worst ever in a major American city.
Del. Sandy Rosenberg, a Baltimore City Democrat, introduced a bill that calls for the Maryland Department of Health to submit reports this year and next on how it is improving regulation of addiction treatment programs and recovery residences.
Upset by ‘horrid conditions’ in drug treatment, Maryland lawmaker calls for more oversight
A Baltimore Democrat is pushing a new bill to improve state oversight of drug addiction treatment centers.
Melissa McCarthy at The Reprieve, a residential treatment center in Carroll County that she and her business partner have been unable to open due to delays with the Maryland Department of Health.
Ready but unable to open: New treatment providers face hurdles in Maryland
The operators of The Reprieve are among many addiction and mental health treatment providers — both prospective and established — who have said delays in the state’s bureaucratic machinery are hindering their ability to help Marylanders in the midst of an overdose crisis.
PHA Healthcare offices during their Wrapped in Hope event in Baltimore, Friday, on December 13, 2024.
PHA Healthcare client: ‘I have nowhere to go’ as company fails to pay rent
A Maryland addiction treatment program that was ordered to cease and desist counseling services has stopped paying rent on at least three properties.
Finding a good drug treatment program in Maryland is tough. We can help.
If you’re looking for treatment, there are some things you should know, according to providers and the public officials who oversee them.
A Bmore POWER worker distributes Narcan at an intersection of Cumberland Street and Pennsylvania Avenue in Baltimore on Thursday, August 3, 2023.
Overdose deaths dropped sharply last year in Maryland, Baltimore
Overdose deaths in Maryland fell “dramatically” last year, Gov. Wes Moore announced Tuesday.
City Councilman Mark Conway is pushing for wider use of buprenorphine to help with the city’s overdose crisis.
Mayor, councilman at odds again over Baltimore’s opioid strategy
What Mark Conway says is groundbreaking and lifesaving, the mayor’s office says is irresponsible and simplistic.
PHA Healthcare's founder, Stephen Thomas, at his office in Baltimore, MD, December 13, 2024.
PHA Healthcare owner says treatment services have ended
The owner of PHA Healthcare said he has ended its treatment services, but clients are still living in the addiction treatment provider’s housing.
An apartment complex in West Baltimore that PHA Healthcare uses to house some clients in recovery in Baltimore on October 18, 2024.
PHA Healthcare says it will still house patients after state order to stop addiction treatment
PHA Healthcare has told some patients that they can continue to reside in its housing, according to Banner interviews with current clients.
An apartment complex in West Baltimore that housed PHA Healthcare patients, photographed on Friday, January 10 2025
PHA Healthcare ordered to ‘cease and desist’ after Banner investigation
PHA Healthcare, a drug addiction treatment provider that enrolls hundreds of Medicaid patients in Maryland each year, has been ordered by the state health department to stop providing services to patients.
The Maryland Department of Health is located in the Herbert R. O'Conor State Office Building at 201 W. Preston Street in Baltimore.
Maryland extends pause on some new addiction, mental health programs to tackle Medicaid fraud
The moratorium, first announced in June, followed explosive growth of new providers, some of whom were described by officials as unscrupulous.
A picture of Jedale Parsons and her son, Hunter, on a cross at her home in Hagerstown, Md., on Thursday, October 17, 2024. Hunter Parsons passed away from an overdose on January 1, 2023.
New Year’s Day is usually a celebration. In Baltimore, it’s the deadliest day for overdoses.
New Year’s Day has been the deadliest day of the year for overdoses, a Banner analysis of a decade of autopsy data found.
More than 180 people applied to a new city panel that will recommend how to spend millions won in opioid settlements. Mayor Brandon Scott laid out a multiyear plan for the rest of the winnings in an August executive order.
More than 180 people seek to guide how Baltimore will spend its opioid millions
The Restitution Advisory Board will help guide the city as it spends the more than $650 million it won from pharmaceutical companies accused of inundating the Baltimore area with millions of legal opioid painkillers.
Flowers laid by Mona Setherley at the rowhome where her son, Bruce Setherley, was discovered deceased from an overdose in Baltimore on February 15, 2024.
Banner analysis: Inequality central to Baltimore’s unprecedented overdose crisis
Baltimore’s unprecedented overdose crisis has not been suffered equally. Neighborhoods with the highest overdose rates were often the same ones with the highest rates of poverty, a Banner analysis found.
Victoria Richardson plays with her daughter Khalani, 1, and  son Zakari, 3, who both live with her.
These kids have never done drugs. They’re still being treated for addiction.
Opioids have devastated not just individuals in the rural Cecil County, but impacted children so heavily that officials are now treating addiction as a family affair.
Members of the BRIDGES Coalition hold a demonstration in front of City Hall in Baltimore in July.
Why few communities chose Baltimore’s high-risk, high-reward opioid legal strategy
Baltimore joined that exclusive group last month, launching a trial against the drug distributors McKesson and AmerisourceBergen that has been six years in the making.
A commemorative DVD that played during Journey's funeral and reception is displayed on a shelf in Rachell Portilla's home as seen on August 13th, 2024 in Halethorpe, MD.
Young children are dying in Baltimore’s unprecedented overdose crisis
The smallest and least suspecting victims of Baltimore’s opioid epidemic are young children. Since 2020, 15 young children have died of overdose.
A man in the foreground is barely visible because the room is dark. The window over his right shoulder shows two children playing outside. What at first appears as bars on the window is actually syringes.
‘We are very familiar with death’: One man’s overdose exemplifies Baltimore’s crisis
A man’s death is one of 988 overdoses that exemplifies the cross section of ages, races, ethnicities and genders affected by Baltimore’s overdose crisis.
Nearly 6,000 people have died from overdoses in the last six years, the worst drug crisis ever seen in a major American city. (Ryan Little/The Baltimore Banner. Original photo by Jessica Gallagher/The Baltimore Banner.)
An unprecedented epidemic: This is where people die of overdoses in Baltimore
A yearlong investigation recently published by The Baltimore Banner and The New York Times revealed an unprecedented overdose crisis gripping Baltimore.
Mayor Brandon Scott at a press conference in Baltimore City Hall's rotunda on Aug. 29 laid out his plans for managing the money won from pharmaceutical companies as part of ongoing opioid litigation.
Flush with cash from opioid settlements, Scott reveals Baltimore’s overdose playbook
Mayor Brandon Scott laid the groundwork for the city to begin spending money, with designs on slowing the death toll in a city where in recent years an average of three people have died from overdoses every day.
Members of the BRIDGES Coalition hold a demonstration in front of City Hall in Baltimore, Wednesday, July 10, 2024.
Baltimore reaches second opioid settlement with CVS on the eve of trial
The settlement brings the city’s total recoveries to $90 million.
Members of the BRIDGES Coalition hold a demonstration in front of City Hall in Baltimore, Wednesday, July 10, 2024.
A councilman wanted to hold a hearing about overdoses. He got shut down.
A hearing to examine Baltimore’s opioid overdose crisis was abruptly canceled Wednesday morning as a dispute between Mayor Brandon Scott and the City Council member who’d called the meeting boiled over and became public.
Discarded Narcan nasal spray sits on Retreat Street in Baltimore on Friday, Dec. 8, 2023.
$20M to pay lawyers: Where money from Baltimore’s opioid settlement will go
Questions abound about how the money will be used to combat overdoses.
Renovated, expanded Tuerk House in Baltimore aims to help assist people struggling with addiction and mental illness.
Commentary: Here are solutions for Baltimore’s overdose crisis
City leaders, health care providers and law enforcement can work together to provide treatment, prevention and other strategies to confront Baltimore’s drug overdose crisis, directors of health and public innovation efforts at Johns Hopkins University say.
Lisa Filer and Jon Filer stand outside of Starlight Liquors in Baltimore, MD on July 20, 2023 where their son, Aidan Filer, passed away from a fentanyl overdose three years prior.
Letter: Something needs to be done about Baltimore’s overdose crisis immediately
Craig Lippens, president of the Maryland Addiction Directors Council, said treatment is key to addressing Baltimore’s opioid crisis but too many obstacles persist to offer more options.
Donna Bruce waves her praise flags through the newly renamed street, Devon Wellington’s Way after the ceremonial street signing, in Baltimore, June 5, 2024.
Strangers making small talk bonded over connection to overdose victim
One of the last people to see Devon Wellington alive, before he overdosed in 2021, has developed a relationship with the man’s mother. She taught him how to use Narcan, and they recently attended a street renaming event together.
The exterior of Baltimore City Hall.
Council will hold four hearings examining city’s response to overdoses
The Baltimore City Council will hold at least four oversight hearings examining the city’s response to its unprecedented overdose epidemic.
A person receives Narcan from Bmore POWER on Arlington Avenue in Baltimore on Thursday, December 14, 2023.
Seniors in Baltimore are being devastated by drugs: 5 takeaways
The city has become the U.S. overdose capital, and older Black men are dying at higher rates than anyone else.
Baltimore City Councilman Mark Conway listens during a hearing with members of the Baltimore City Council’s Public Safety and Government Operations Committee inside Baltimore City Hall on Wednesday, Aug. 23.
City Council to examine city’s overdose response after Banner/Times report
Councilman Mark Conway plans to introduce legislation on Monday to convene a hearing in late June.
NEW YORK, NEW YORK - SEPTEMBER 01: In this photo illustration, A Narcan nasal overdose kit, given out free by the city of New York, is displayed as part of the Brooklyn Community Recovery Center's demonstration on how to use Narcan to revive a person in the case of a drug overdose on September 01, 2022 in the Brooklyn borough of New York City. Nearly one million people have died of drug overdose deaths in America in the past two decades, with an increasing majority of those deaths due to synthetic opioids like fentanyl. The Brooklyn Community Recovery Center handed out packs of Narcan nasal spray before holding a brief vigil to those lives lost due to drug overdoses.
How to get naloxone — and how to use it
Naloxone is a medication that can reverse an opioid overdose.
Lisa Filer and Jon Filer stand outside of Starlight Liquors in Baltimore, MD on July 20, 2023 where their son, Aidan Filer, passed away from a fentanyl overdose three years prior.
Baltimore planning an opioid office, public database of overdose deaths
City administrator Faith Leach said Baltimore officials have been working to expand services for people addicted to opioids, and hope to do so using potential settlement money from an ongoing lawsuit against opioid manufacturers.
Dr. Letitia Dzirasa, then health commissioner, in her office in January 2023. She was later promoted to deputy mayor of health, equity and human services. According to a memo obtained by The Banner, she will leave City Hall in June.
Dr. Letitia Dzirasa, Baltimore’s top health official, to leave job next month
Deputy chief of staff J.D. Merrill will serve as Dzirasa’s interim replacement.
Cassidy Fredrick, 6, sits on the headstone of her father, Devon Wellington, at Woodlawn Cemetery in Baltimore, MD on April 7, 2024.
‘I love you in the sky, daddy’: Stories from Baltimore’s overdose crisis
Unprecedented overdose rates from fentanyl and other drugs have left signs of loss across the city.

About this project

The reporters examined Baltimore’s response to rising overdose deaths as part of The New York Times Local Investigations Fellowship.

Reporting by Alissa Zhu, Nick Thieme and Jessica Gallagher. Additional reporting by Cadence Quaranta, Emily Sullivan and Adam Willis, and Cheryl Phillips and Eric Sagara of Big Local News. Additional research by Susan C. Beachy and Kirsten Noyes.

Photography and photo layout by Jessica Gallagher and Ariel Zambelich. Design, video and web production for The Baltimore Banner by Ryan Little, Emma Patti and Zuri Berry. Audience, social and reader engagement by T.J. Ortenzi, Stokely Baksh and Krishna Sharma. Video and web production for The New York Times by Leo Dominguez, Rebecca Suner and Claire Hogan. Graphics by Molly Cook Escobar, Scott Reinhard and Nick Thieme.

Editing by The New York Times, Kimi Yoshino, Richard Martin, Ryan Little and Emma Patti.

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